| NPI | 1700684990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE BANGURA Owner/Director 407-745-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |