| NPI | 1487102125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN ACOSTA-ROMAN President 939-337-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |