| NPI | 1538344874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA P. O'SULLIVAN Clinical Director 239-985-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL 1-07-3890) |
| Enumeration Date | 2008-01-06 |
| Last Update Date | 2008-01-06 |