NPI | 1760435754 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY DEAN ATWOOD President/Psychologist 941-487-7890 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 550) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NM 550) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2012-05-03 |