| NPI | 1710225750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE PNAN Onwer 888-880-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL 222Q00000X) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |