| NPI | 1730992686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS A PASTRANA Owner 727-404-0876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X |
| 253J00000X Foster Care Agency | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |