| NPI | 1558484212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN SKINNER Executive Director 407-362-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-12-21 |