| NPI | 1285355610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FISHER CEO 727-490-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2026-03-22 |