NPI | 1740596022 |
---|---|
Doing Business As | AVON PARK YOUTH ACADEMY |
Entity Type | Organization |
Authorized Contact | KERRY L. KNOTT Chief Executive Officer 561-691-6729 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2010-08-25 |
Last Update Date | 2010-08-25 |