| NPI | 1104414689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS HOOVER Administrator 813-485-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2022-01-04 |