| NPI | 1205085834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHARLES HARTMAN Officer/Psychotherapist 863-402-9106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW8636) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |