| NPI | 1417330960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATARIA BRIDGES-MOSS Owner 305-525-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |