| NPI | 1609390525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA LAMOUR Director 321-304-1436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-07-21 |