| NPI | 1043510928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ROSA Manager 407-292-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 7G319 A/C) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |