| NPI | 1164690384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES DIAZ Owner 305-551-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL HCC5931) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2013-01-14 |