| NPI | 1699093112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARROLL BEASLEY Director 727-797-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |