| NPI | 1598366171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LYNETTE MILLER President/CEO 386-965-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 103TS0200X Psychologist, School | |
| 251S00000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2021-04-05 |