| NPI | 1679265847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE MILAGROS CHANEY Owner Itfs Specialist 941-456-3649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-06-13 |