| NPI | 1780447508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DIAL-UKWATA Director 727-831-7408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |