| NPI | 1275207920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONJA JONES-BLOUNT Executive Program Director 407-312-5769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2025-01-12 |