| NPI | 1578884490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RICHARDS Manager/Occupational Therapist 772-643-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |