| NPI | 1407973142 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT RANDOLPH BUTTS President 727-391-3893 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4732) | 
| Enumeration Date | 2007-03-26 | 
| Last Update Date | 2008-06-18 |