| NPI | 1598190092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE R FORD President 813-374-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |