NPI | 1295232734 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA J BISSELL COO 857-523-0654 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NM E7436) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2018-04-11 |
Last Update Date | 2022-07-20 |