| NPI | 1992225924 |
|---|---|
| Doing Business As | LIFE CYCLE SUPPORT |
| Entity Type | Organization |
| Authorized Contact | MEGAN LINETTE ALLEN CEO 321-444-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |