| NPI | 1760092589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALONZO E JOHNSON Owner 813-420-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |