| NPI | 1003107533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIANNE D. JEROME Owner 813-654-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: FL 6905950) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |