| NPI | 1811147978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER GRAHAM Controller 941-916-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 16500) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2024-11-04 |