| NPI | 1245379882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA A CARON Corporate Billing Director 561-333-1372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL 299992353) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |