| NPI | 1861165557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN LAESSIG Owner 813-586-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |