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 | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2021-02-12 |
Last Update Date | 2022-03-01 |