| NPI | 1073617551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A. MCMURRAY President,Ce 941-921-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY 4631) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |