| NPI | 1811885452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEKINA PERRY Administrator 813-389-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |