| NPI | 1124723002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODELYNE JOSEPH Administrator 561-598-0429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |