| NPI | 1851448633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H MADSEN Psychologist President Of Corp. 850-575-8954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 2886) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-08-20 |