| NPI | 1558802140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL DITTMAN Owner/President 941-993-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL 233926) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |