| NPI | 1093230476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIETT CARPENTER Owner/CEO 954-448-5936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-07-21 |