| NPI | 1316657661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELKIS CARDENAS MESA President 786-542-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2026-02-17 |