| NPI | 1114302544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SEYMORE Director 786-897-0629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |