| NPI | 1598300493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PLOWDEN Director 772-353-9132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2022-10-17 |