| NPI | 1053884940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENA ACKBERSINGH Administrator 954-881-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |