| NPI | 1578728770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JAMES MCCLUSKY Behavior Analyst 813-653-4072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |