| NPI | 1396010633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANNETTE ANTOINETTE SIMPSON Owner 954-476-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL AL11012) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |