| NPI | 1740073196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILES MULRAIN Executive Director 407-750-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |