| 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 (Licence: FL 1-00-0098) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-10-28 |