NPI | 1063046332 |
---|---|
Entity Type | Organization |
Authorized Contact | NAKIA LYNELL SMITH Chief Executive Officer 352-512-2813 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Additional Taxonomies | 376J00000X Homemaker |
Enumeration Date | 2020-02-26 |
Last Update Date | 2021-09-30 |