| NPI | 1215302930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA REYES CEO 239-738-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 770443536) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |