| NPI | 1962935452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARYN LYNN TRAPP PT A 407-920-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL PTA27175) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |