| NPI | 1740934165 |
|---|---|
| Doing Business As | DBA |
| Entity Type | Organization |
| Authorized Contact | VAIDWATTEE RAMJIT Provider 352-216-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |