| NPI | 1306862511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BUXBAUM Executive Director 727-343-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |