| NPI | 1063929628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUERLYNE BELLEVUE President 386-233-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2025-05-03 |