| 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 |