| NPI | 1467041087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN TRUJILLO Owner 305-972-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-18 |