| NPI | 1033579198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A PATTERSON Owner 352-322-8572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |