| NPI | 1710223532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J WHITE Director Of Program Development 813-239-1179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |