| NPI | 1104022375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMANE BERNAGENE Owner 954-227-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: 17661) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |