| NPI | 1003471582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENETHA NICOLE HUNTER Owner 727-512-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |