| NPI | 1184873267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BECKER Executive Director 407-362-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |