| NPI | 1205626025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISLEI ACOSTA Owner 813-508-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |