| NPI | 1740554740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA C FRANK Psychotherapist 407-649-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL MH 1303) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |