| NPI | 1992321020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO JAMES DOUCETTE President/Ced 813-337-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |