| NPI | 1043412430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO GODINEZ Administrator 305-884-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 7469) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |