| NPI | 1235307042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENER CARRAZANA President/Owner 305-822-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2016-03-29 |