| NPI | 1750939898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIKEL BAKHIT Owner 727-278-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2021-12-04 |