NPI | 1215723184 |
---|---|
Entity Type | Organization |
Authorized Contact | BERTRAND ADAM CHARLES Owner 941-524-0036 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2025-04-17 |
Last Update Date | 2025-04-17 |