| NPI | 1194314245 |
|---|---|
| Doing Business As | HALCYON PLACE LLC |
| Entity Type | Organization |
| Authorized Contact | LISA MOSS Owner 813-210-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |