| NPI | 1841468907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE PETERSON Manager 407-252-5418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW2881) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS409) |
| 103TS0200X Psychologist, School (Licence: FL SS775) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-05-05 |