| NPI | 1487175899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELENA ZIVANOVIC President 727-249-6845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |