| 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 |