| NPI | 1851796817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ABBY KOCH President 813-399-1625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL PY0004230) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2014-11-01 |
| Last Update Date | 2023-09-06 |