| NPI | 1083770564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CASE President 727-736-3496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY7438) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |