| NPI | 1134757867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MAXCENE DECARDE President 407-723-3832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |