NPI | 1427462522 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN CORNWALL Executive Director 239-352-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL 1-00-0098) |
Additional Taxonomies | 103K00000X Behavior Analyst |
251C00000X Day Training, Developmentally Disabled Services (Licence: FL 1-00-0098) | |
251S00000X | |
Enumeration Date | 2014-06-17 |
Last Update Date | 2021-10-28 |