| NPI | 1144759531 |
|---|---|
| Doing Business As | SPIRIT RESIDENTIAL GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | LOLA BAIN President 305-623-4618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |