| NPI | 1497229926 |
|---|---|
| Former Legal Business Name | AAC |
| Entity Type | Organization |
| Authorized Contact | SHACOYA MONTGOMERY CEO 863-617-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |