| NPI | 1508149931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSNE OLIVARES Vice President 786-253-9646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 11-988-gh) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |