| NPI | 1689430050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PENNINGTON President 941-457-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |