| NPI | 1821637166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE LOWMAN Owner And Operator 407-937-9308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |