| NPI | 1386189314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R MARTIN President 352-375-7756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY5214) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |