| NPI | 1750681268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE A TWITCHELL President 239-275-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5030) |
| Enumeration Date | 2010-10-31 |
| Last Update Date | 2010-12-02 |