| NPI | 1679736656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BERNARD Bookkeeper 321-259-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |