| NPI | 1457944175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M THOMAS CEO 561-666-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X Community/Behavioral Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2022-03-01 |