| NPI | 1992192074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKA PALCESKI Owner 407-252-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |