# HUMAN DEVELOPMENT CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639278377
- **Authorized official:** KIMBERLY CHURCH PSY.D., BCBA-D (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (813) 872-6250

## Contact information

- **Practice address:** 3809 N TAMPA ST, TAMPA, FL 33603-4743
- **Practice address phone:** (813) 876-6250
- **Practice address fax:** (813) 872-6078
- **Mailing address:** 5904 N ARMENIA AVE, TAMPA, FL 33603-1024
- **Mailing address phone:** (813) 872-6250
- **Mailing address fax:** (813) 872-6078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 10/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 024111396 | — | FL |
| 01 | — | 024111398 | FSL WAIVER | FL |