| NPI | 1952804320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA GIBSON President/Director 727-902-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |