| NPI | 1619477015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LIZOTTE Owner/ Administration 813-503-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |