| NPI | 1912459934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERATHERESA LABAO Owner/Administrator 727-857-7199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |