| NPI | 1649435595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC-ARTHUR MAXIS Manager 407-656-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |