| NPI | 1598205296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELLA C GARDNER Owner 9049-455-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL 251) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |