| NPI | 1134947591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTELLE LEWIS Administrator 813-820-8328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |