| NPI | 1174998405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D RAINES President 305-699-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |