NPI | 1831637552 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN D O'CONNELL Behavior Analyst 239-784-4989 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1-11-7957) |
Enumeration Date | 2017-02-01 |
Last Update Date | 2017-02-01 |