NPI | 1528748613 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEE T BRYANT COO 727-612-4907 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2023-07-24 |
Last Update Date | 2024-04-12 |