| NPI | 1093469736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ELLIS Owner 727-204-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |