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 |