| NPI | 1043634876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL BRITO Owner/Administrator 813-735-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL AL11790) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2015-05-28 |