| NPI | 1205626991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREEM STINNETT Owner/ Provider 850-339-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |