| NPI | 1255521894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIDELINE DORVIZ Speech Language Pathology Assistta 305-933-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |