| NPI | 1578810248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD CLAY MCKEOWN President 352-364-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL CGC1519310) |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2012-08-12 |