| NPI | 1174779813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYA NICOLE BRANDON President 321-377-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL 230698) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 230698) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |