| NPI | 1669992400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY GROSS Vice President 813-693-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |