| NPI | 1538333422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA EDWARD Owner/Behavior Analyst 239-297-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251C00000X |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2012-12-04 |