NPI | 1255077350 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY BERNARD MCCOY CEO 352-874-0639 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 106S00000X Behavior Technician |
208100000X Physical Medicine & Rehabilitation | |
251S00000X | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2022-05-11 |
Last Update Date | 2022-05-11 |