| NPI | 1982219838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE ENSOR Owner 727-667-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-11-11 |