| NPI | 1205686664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRIPP SMITH Facility Executive Director 813-605-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-06-10 |