| NPI | 1528671963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ST PAUL Manager 305-709-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM1000X Clinic/Center Migrant Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |