| NPI | 1124335112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN ROUHANI Administrator 727-669-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL9997) |
| Enumeration Date | 2010-09-12 |
| Last Update Date | 2010-09-12 |