| NPI | 1386790913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA CARDONA H.R Assistant 407-852-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL BUS00222327-001) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |