| NPI | 1396476198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN G SUAREZ Owner Administrator 305-345-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-07-14 |