| NPI | 1932239910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY GRIFFITH President 772-781-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 0004935) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 0005461) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |