NPI | 1134862873 |
---|---|
Former Legal Business Name | KIMROSE CENTER |
Entity Type | Organization |
Authorized Contact | KENTISHA S WILLIAMS Owner 407-446-8259 |
Organization Subpart ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Enumeration Date | 2022-04-20 |
Last Update Date | 2022-04-20 |