| NPI | 1346198413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DAVIS Owner 727-488-5815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2026-03-17 |
| Last Update Date | 2026-03-17 |