| NPI | 1194851097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C BECKER Executive Director 407-362-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |