| NPI | 1831031293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PARENT Owner 813-484-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-04-07 |
| Last Update Date | 2026-04-07 |