| NPI | 1700464914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY NEGRON-HORNSBY Owner 813-501-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |