| NPI | 1265640163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY RAMGOOLIE Administrator 352-390-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL F001) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-07-21 |