| NPI | 1639875842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA T SPEARS CEO 239-745-9012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |