| NPI | 1053640490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTIN BULLOCK Executive Director 850-583-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: BCBA 1-05-2521) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: BCBA 1-05-2521) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |