| NPI | 1851388185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L. KING Executive Director 772-468-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL 8587) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-08-22 |