| NPI | 1346788494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZAN NEBLETT Owner 305-910-3247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |