| NPI | 1760279343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEGOFF BARTHELEMY Owner 813-797-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-05-13 |