| NPI | 1730370552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MOORE President / Owner 863-701-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |