| NPI | 1114188430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA LOPETEGUI Owner 305-228-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL10171) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |