| NPI | 1649424367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH DALY Owner 321-356-9352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |