| NPI | 1568231033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARON LINDO Administrator 772-722-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2023-12-26 |