| NPI | 1861014078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MOSES CEO 727-741-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |