| NPI | 1194986059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGALY B TRES Administrator 305-818-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL10296) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |