| NPI | 1073374195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA RAE DAVIS Founder/Executive Director 863-450-9308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |