NPI | 1790181725 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANY WEAVER President 727-244-1379 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6244) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8645) |
Enumeration Date | 2014-11-19 |
Last Update Date | 2014-11-19 |