| NPI | 1578223541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISANDRA HERNANDEZ Registered Nurse 786-314-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2022-01-26 |