| NPI | 1487489480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE M ROBINSON Owner 813-416-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 235Z00000X Speech-Language Pathologist, | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-10-31 |