| NPI | 1588538946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH SANON Healthcare Adminstrator 239-841-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |