| NPI | 1104996636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL GILES Provider 352-684-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 678706196) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-11-20 |