| NPI | 1689797870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C BECKER Executive Director 407-362-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |