| NPI | 1467299453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE RENZULLI Business Manager/Point Of Contact 239-533-9604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |