| NPI | 1205456159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA REGINA SCOTT Managing Member 352-286-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-08-19 |