| NPI | 1811367485 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JEREMY ZEHR Psychologist / President 727-492-2693  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7812)  | 
| Enumeration Date | 2015-09-25 | 
| Last Update Date | 2015-09-25 |