| NPI | 1710796867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DENISE CHAUVIN Provider Owner 813-593-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-03-21 |