| NPI | 1336582469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE YOUNG Residential Worker 321-264-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: FL 8) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2022-07-21 |