NPI | 1558606210 |
---|---|
Doing Business As | EXPANDING HORIZONS |
Entity Type | Organization |
Authorized Contact | ALMA T. BIRD Agency Director 321-805-4426 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 5536) |
103K00000X Behavior Analyst (Licence: FL 1-05-2139) | |
251B00000X Case Management | |
Enumeration Date | 2012-12-06 |
Last Update Date | 2015-06-02 |