| NPI | 1548033103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRIANNA HADLEY Owner 407-491-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |