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 |