| NPI | 1578747069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A LESNICK Slp/Ei 863-640-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL SA6861) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |