| NPI | 1891431300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY F WOLPERT Owner 813-967-5706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-05-08 |
| Last Update Date | 2024-12-18 |