| NPI | 1588921290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY GRACIANO Owner 954-549-0948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL 1025746H) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |