| NPI | 1831919182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA AMARNATH Owner 321-243-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |