| NPI | 1497934954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS SOSA Administrator 305-219-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL11130) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |