| NPI | 1598161788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WALSH Member 813-644-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |