| NPI | 1699105288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT DOOLEY C Eo 386-290-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL 0764AD394901) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |