| NPI | 1396499752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD H. COATS Group Home Provider 305-345-7833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |