| NPI | 1013577600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE DANCYKIER Owner 786-262-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |