| NPI | 1366023871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMELLA WHITE CEO 954-234-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |