| Organization Name: | KIDS IN BALANCE, INC. |
| NPI Number: | 1003007659 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER A LEIGH (DIR./SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 10022 Water Works Ln Riverview |
| State: | FL US |
| Postal Code: | 335785301 |
| Phone Number: | 8136778450 |
| Fax Number: | 8136775029 |
| NPI Enumeration Date: | 08/08/2007 |
| NPI Last Update Date: | 08/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | CH21861 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |