| NPI | 1457837049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS LUNA Authorized Official 561-719-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2023-04-28 |