| NPI | 1669693651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE WATSON Manager Director 941-955-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5415) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |