| NPI | 1538583497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE JULIE HIGHTOWER Psychologist 239-645-1847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY7558) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-07-16 |