| NPI | 1356536122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR PATTERSON Owner 863-314-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0003935) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2008-04-09 |