| NPI | 1073729935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS VILLARREAL Owner 786-683-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 7196) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL 7196) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-11-25 |