| NPI | 1184920605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARINE ROBERT RN 786-333-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: FL RN 9184823) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |