NPI | 1275024382 |
---|---|
Doing Business As | CENTER FOR PSYCHEDELIC PSYCHOTHERAPY |
Other Name | FCITT |
Entity Type | Organization |
Authorized Contact | ELI KOLP Medical Director 407-973-0482 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2018-05-24 |
Last Update Date | 2024-05-17 |