| NPI | 1083016364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL COHEN Manager 954-927-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 6508) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |