| NPI | 1740031533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN S ELLER CEO 941-225-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |