| NPI | 1295224822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENESE MARSHALL CEO 340-227-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: FL PY8688) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2020-04-07 |