| NPI | 1568503456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA FELDBEYN Icf Administrator 305-758-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 4045095) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |