NPI | 1164799490 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE M BLAKESLEE President/Site Manager 407-483-0989 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: FL OL-01083) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2011-12-01 |