| NPI | 1013210293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN LYNN RIEBE President 321-956-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4564) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |