| NPI | 1861828394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS ANDERSON CEO 813-380-9843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL11520) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |