| NPI | 1811617863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DENISE JERNIGHAN Founder 321-220-0862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2024-01-11 |