| NPI | 1003172073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER R DELVA Owner 305-931-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: GA 11255DH) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL 11255DH) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |