| NPI | 1124424080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN LORRAINE CLINE Associate Executive Director 727-799-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2015-01-14 |