| NPI | 1376743716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCARLET MITCHELL RAY Speech Language Assistant 305-933-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL si1029) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |