| NPI | 1255500328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA FERNANDEZ Owner/Administrator 786-393-8122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL10555) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |