| NPI | 1457590473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO LOPEZ VP 305-793-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL10500) |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2009-02-14 |