| NPI | 1780854117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS DUAN President & CEO 407-830-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 7G327A/C) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |