| NPI | 1770018483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA D BARTLETT Chief Executive Officer 813-712-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2019-10-14 |