| NPI | 1619218054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MCKENZIE Executive Director 850-524-2048 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL 12786) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2020-05-21 |