| NPI | 1902041932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED L. ALBERTS President 813-251-9284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY3346) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |