| NPI | 1619168895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CHRISTIAN MOORE CEO/Owner 863-701-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |