| NPI | 1598270662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE VERNON NEWTON CEO 813-203-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |