| NPI | 1316250764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARASH MOSSAFA Onwer 772-237-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |