NPI | 1245047125 |
---|---|
Entity Type | Organization |
Authorized Contact | DARYEL LORENZO SCOTT Owner/Rmhci 321-472-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2024-12-14 |
Last Update Date | 2024-12-14 |