| NPI | 1447403654 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | LOUISE LEGER ELISE Alf Administrator 305-762-4242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL AL10144) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL AL10144) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |