| 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 |