| NPI | 1528771326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELIZABETH BANGORA Proprietor 941-248-5068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |