| NPI | 1639936222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINTRELL WARREN Owner 813-518-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |