| NPI | 1760814909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN KEOUGH WILLIAMS Owner/Psychologist 813-846-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL PY8200) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2024-03-29 |