| NPI | 1285174136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWYNA BELL Senior Executive Director 1888-959-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2017-02-26 |