| NPI | 1083583843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY MITCHELL Co Owner/Director 352-207-4831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-10-31 |