| NPI | 1467491829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MATTHEW CAMPBELL President 407-322-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0004142) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-10-27 |