| NPI | 1316176381 |
|---|---|
| Former Legal Business Name | THERAPEUTIC INTERVENTION EARLY SERVICE, INC. |
| Entity Type | Organization |
| Authorized Contact | PAULA LOCKE President 754-204-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW9510) |
| Additional Taxonomies | 251B00000X Case Management (Licence: FL CAP3324) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: FL SW9510) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2021-04-20 |