| NPI | 1932842127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISEL R. FINKLEY CEO 813-442-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-04-15 |