NPI | 1992081434 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM W CONWAY Director 352-275-5778 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL ME88464) |
Enumeration Date | 2011-10-28 |
Last Update Date | 2011-10-28 |