| NPI | 1558520148 |
|---|---|
| Other Name | NONPROFIT |
| Entity Type | Organization |
| Authorized Contact | ASHLEY ADAMS Clinical Operations Associate 321-674-8106 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2018-06-29 |