| NPI | 1831536515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T KELLY Executive Director 386-258-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |