| NPI | 1245437359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY C PETERS CEO 904-396-1462 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-10-17 |