| NPI | 1275602120 |
|---|---|
| Other Name | TACACHALE FACILITY 5 |
| Entity Type | Organization |
| Authorized Contact | DON E. THOMAS Superintendent 352-955-5856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 4093096) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-06-24 |