| NPI | 1053510883 |
|---|---|
| Former Legal Business Name | LOGOS CE CORPORATION |
| Entity Type | Organization |
| Authorized Contact | ANGELA M BELTRAN Office Manager 407-518-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7102) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL mh 8768) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2010-06-23 |