NPI | 1356844567 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA MICHELINE DORICENT Owner 813-465-9669 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2018-03-14 |
Last Update Date | 2018-03-14 |