| NPI | 1164667168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIZADAY MARIE MERCADO Vice President 954-475-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL MA52668) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |