| NPI | 1689002362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SANDERS Operations Officer 850-346-1634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8870) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |