| NPI | 1013405281 |
|---|---|
| Doing Business As | CRUDUP PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | BIANCA M. CRUDUP Owner 386-243-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY10135) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-06-16 |