| NPI | 1669230827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULITTE WALDEN Owner 321-261-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |