| NPI | 1225556244 |
|---|---|
| Former Legal Business Name | ACT LIFE TRANSITIONS, INC. |
| Entity Type | Organization |
| Authorized Contact | CARRIE ERIN CONNELLY COO Dir. Clinical Programming 321-265-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-04-2044) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |