| NPI | 1265737811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J ROBERTS Manager 954-449-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: FL F020702888001) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |