| NPI | 1801381199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADICA ANNIE SOOKLALL Administator 407-445-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |