| NPI | 1346670825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN RICOT MAREUS Owner/Administrator 305-305-8248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 233340) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |