| NPI | 1093107302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKISHA CORLETTE THOMAS President 754-281-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 232828) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |