| NPI | 1588477863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IJEOMA MUFORO Program Director 813-401-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |