| NPI | 1154113603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADY NESSIM Board Certified Behavioral Analyst 407-437-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |