Organization
KCVR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARLISLE CALLAHAN (OWNER)
(727) 276-4853
Entity
Organization
Contact information
Practice address
3750 MCCLOUD ST, NEW PORT RICHEY, FL 34655-2606
(727) 276-4853
Mailing address
3750 MCCLOUD ST, NEW PORT RICHEY, FL 34655-2606
(727) 276-4853
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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