| NPI | 1346440096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACARIO HUAITALLA President 305-305-9882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL9895) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |