NPI | 1205292661 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN-MARIE HARRIS RN 813-335-9923 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL RN9219102) |
Enumeration Date | 2016-01-14 |
Last Update Date | 2016-01-14 |