NPI | 1316790942 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN MICHELLE DAVIDSON Clinical Neuropsychologist 407-793-1282 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-04-11 |
Last Update Date | 2024-04-11 |