| NPI | 1609041920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WHEATON President 727-535-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY2942) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |