| NPI | 1083206338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRIGA OFORI Authorized Official 727-483-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2025-03-17 |