| NPI | 1366993404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE EWALD CEO 321-505-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |