NPI | 1154184711 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSA V GONZALEZ Manager 941-879-4379 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-02-05 |