| NPI | 1760576888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S OXHORN President 904-625-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6210) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-05-12 |