| NPI | 1104263235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA ALKHATIB Mental Health Counselor, M.A. 386-864-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL 101YM0800X) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |