NPI | 1942419361 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN RIPPER President CEO 772-223-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: FL 331) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2007-05-22 |
Last Update Date | 2024-08-26 |