| NPI | 1952997900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA SHERMAN Owner/ Operator 352-658-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 104100000X Social Worker |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-15 |