| NPI | 1083329064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DOMINGUEZ Owner 786-925-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2025-03-21 |