| NPI | 1831038587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY JOHNSON CEO 813-404-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-03-27 |
| Last Update Date | 2026-03-27 |