| NPI | 1114600509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DEWAR-WILLIAMS Owner/Operator 813-704-9671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-22 |