| NPI | 1609486844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISVEL ACOSTA ALBIZU Administrator 813-516-9863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2023-11-27 |