| NPI | 1689840381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE-MARIE PORTER Program Manager 813-474-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 104100000X Social Worker |
| 251V00000X Voluntary or Charitable | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2009-11-18 |