| 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 |