| NPI | 1487059713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY L HYDE CEO 954-522-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL MH 12593) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |