| NPI | 1215311253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN SKINNER Executive Director 407-362-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2018-10-04 |