| NPI | 1174115844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELITA PATTERSON- HALL CEO 772-283-6757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |