NPI | 1104362979 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MARI MOSER Licensed Psychologist 727-244-5975 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL PY5976) |
Enumeration Date | 2017-01-17 |
Last Update Date | 2017-01-17 |