| NPI | 1437802899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIANNE FERNANDEZ Administrator 305-345-2486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |