| NPI | 1205347051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA VALENTINE-HENRY Owner 941-962-3891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |