| NPI | 1861256554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HILL President 813-344-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |