| NPI | 1568844967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA MAYO CEO/President 305-972-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |