| NPI | 1548362684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A. BRADLEY Executive Director 772-562-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL F491626205004) |
| Additional Taxonomies | 251B00000X Case Management (Licence: FL F491626205004) |
| 251S00000X Community/Behavioral Health (Licence: FL F491626205004) | |
| 253Z00000X In Home Supportive Care (Licence: FL F491626205004) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2015-08-07 |