| NPI | 1396062659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNA REGINA HIGGS Cota 786-357-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL oat11245) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |