| NPI | 1154833549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTISIA BUNTON Ar 813-858-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2025-04-23 |