| NPI | 1316584261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELZBIETA THOMPSON Provider/Owner 727-251-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |