| NPI | 1346102803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKIERA GROOVER Owner/Operator 863-348-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |