| NPI | 1851626337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESMERALDA MANUKONDA President 727-452-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL AL11427) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |