| NPI | 1538650643 | 
|---|---|
| Other Name | CTP | 
| Entity Type | Organization | 
| Authorized Contact | ELI KOLP Medical Director 941-202-1847 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry | 
| Enumeration Date | 2018-05-24 | 
| Last Update Date | 2024-05-14 |