| NPI | 1144464124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUA MARIA MARONGIU Clinical Psychologist 321-431-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL PY7776) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL PY7776) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2010-05-19 |