NPI | 1720389760 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIA D WHITTINGTON Psychotherapist 941-708-0896 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW5658) |
Enumeration Date | 2010-11-08 |
Last Update Date | 2010-11-08 |