| NPI | 1588220073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTISHIA LASHANTI MOSLEY Chief Of Operations 727-565-9029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |