| NPI | 1073081915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA LEON Owner 786-484-4763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |