| NPI | 1215323118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES SYHEAD Manager 954-362-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL12023) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2016-05-23 |