| NPI | 1386784429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD WILLIAMS CEO 386-238-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-04-24 |