| NPI | 1770738775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE PRIMAVERA Mental Health Counselor 941-371-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |