| NPI | 1033778659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE LEE WOLFF Owner 850-307-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2022-05-19 |