| NPI | 1518734524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAMIR BELLO Director 954-706-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |