| NPI | 1235012683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVANSHAY HARRIS Owner 813-846-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |