| NPI | 1669313003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA ANIOCE-ANDRE Clinical Director 813-843-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2026-04-01 |
| Last Update Date | 2026-04-01 |