| 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 |