| NPI | 1902292725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI SANDS VAN SICKLE Owner/Psychologist 727-592-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL PY7640) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2022-07-13 |