| NPI | 1265204762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH BRACY CEO 407-274-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |