| NPI | 1770101859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAT ABAD RODRIGUEZ Owner 352-396-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |