| NPI | 1124910559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHUNDRA RENEE PATTIO Medicaide Wavier Provider/Mgr 352-318-5745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |