| NPI | 1538334941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BRANT Psychologist 407-893-7354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL PY6068) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL PY6068) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL PY6068) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |