NPI | 1760525539 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY S BEELER Executive Director 239-334-6160 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 251V00000X Voluntary or Charitable |
261Q00000X Clinic/Center | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2023-03-07 |