| NPI | 1871775767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A GUEST President 407-682-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0002866) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-12 |