| NPI | 1528418829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E PEART Mgr 561-635-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |