| NPI | 1881347169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE PEDRAZA Data Analyst 239-910-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2025-09-25 |