| NPI | 1902572282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE Y DAVIS Owner/CEO 813-450-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |