| NPI | 1154138501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA GALLO-LOPEZ Director 813-355-7684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-01-07 |