| NPI | 1831700665 |
|---|---|
| Other Name | TAMEKA ALNESA DENISE ANDERSON |
| Entity Type | Organization |
| Authorized Contact | TAMEKA ALNESA DESNISE ANDERSON Owner 863-234-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-11-13 |