| NPI | 1902351307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIEANN M DELOMBA Billing Specialest/Office Manager 239-571-2578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY8414) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |