| 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 |