| NPI | 1033465091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHLELIA KUCHERA GODWIN Owner 352-208-9976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |