| NPI | 1649418997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON RENEE GUNTER Owner 352-425-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-01-24 |
| Last Update Date | 2009-01-24 |