| NPI | 1003483447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINETTE WILSON Owner/ Manager 305-731-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |