| NPI | 1225268477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO R LACASA Manager 786-363-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |