| NPI | 1649317942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DIANNE DRISCOLL President / CEO 904-396-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-05-18 |