| NPI | 1104263797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DENNIS CEO 727-461-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2019-09-10 |