NPI | 1518513324 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLENE TURNER Executive Director 813-763-0284 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
261QA0600X Clinic/Center Adult Day Care | |
261QD1600X Clinic/Center Developmental Disabilities | |
Enumeration Date | 2019-08-16 |
Last Update Date | 2020-04-13 |