| NPI | 1578854014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA DENISE WOODSON Owner 352-629-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 688759796) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 688759798) |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2011-05-01 |