| NPI | 1508450008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO PEREZ-VIERA Owner 786-417-9463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |