| NPI | 1124394440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE G JOHNSON Owner 954-683-3945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |