| NPI | 1285970277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO ALVES President 727-209-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 8491) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL PY 8491) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY 8491) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY 8491) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: FL PY 8491) | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2016-05-13 |