NPI | 1356964555 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN M TRUJILLO Owner 305-972-0375 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2020-05-21 |
Last Update Date | 2020-05-21 |