NPI | 1013494384 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRIA RAE GLASSER DAS Chief Executive Officer 850-850-3794 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |