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 |