| NPI | 1851812481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE LAVERNE RATNASWAMY Director/CEO 407-600-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |