| NPI | 1720253297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA A BOX Office Manager 352-337-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY7453) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-05-29 |