| NPI | 1619683695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNN DAVIS Owner 727-336-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |