| NPI | 1306125893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BAKER-HARGROVE Pyschotherpist 407-963-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL MH6562) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |