| NPI | 1437508843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ADAM MCCRACKEN Owner 407-695-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7525) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |