| NPI | 1255536256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YILLIAM MORENO Administrator 786-229-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL10833) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |