NPI | 1780841825 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER A ILER President 813-875-0122 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7118) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2008-05-16 |