Organization · Type 2 NPI
Support Independent Living
Developmental Disabilities Clinic/Center · Fort Walton Beach, FL
Practice location
11 Racetrack Rd NE Ste C2
Fort Walton Beach, FL 32547-1867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
About NPI 1306590260
Support Independent Living's National Provider Identifier is 1306590260, issued on Feb 9, 2022. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Feb 9, 2022.