NPI | 1821623968 |
---|---|
Entity Type | Organization |
Authorized Contact | DARILYN WILLIAMS Owner 352-870-5034 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2020-03-10 |
Last Update Date | 2020-03-10 |