NPI | 1245643188 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA AARON LEVINE CEO 808-258-2375 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL 1-12-10075) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2014-06-09 |