| NPI | 1245976331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BERNARD MCCOY CEO 352-874-0639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2023-05-08 |