NPI | 1144583196 |
---|---|
Doing Business As | ALPHA HOUSE COMMUNITY RESIDENTIAL HOME |
Entity Type | Organization |
Authorized Contact | RENEE M LEE Chief Executive Officer 727-288-4735 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 6906544) |
Enumeration Date | 2012-06-24 |
Last Update Date | 2012-06-24 |