| NPI | 1891203485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS G QUINLAN Owner 727-906-6185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY7593) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-06-26 |