| NPI | 1528744984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY JOHNSTON Owner 352-461-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |