| NPI | 1558767970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE RANDALL WILLIAMS Owner 352-377-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: FL ME0037298) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-14 |