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 |