| NPI | 1275874620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDALMYS TRAVIESO President 786-355-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL ma 62281) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |