NPI | 1871087080 |
---|---|
Doing Business As | GUARDIAN HAVEN |
Entity Type | Organization |
Authorized Contact | NAKISHA LAVELL VARLACK Owner 813-400-2117 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2018-06-20 |
Last Update Date | 2018-09-27 |