| NPI | 1619385002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BAGLEY Chief Financial Officer 305-663-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2024-10-17 |