| NPI | 1265887632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN WILBUR Director 407-937-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |