| NPI | 1639474596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA C HERNANDEZ President 305-216-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 0026041000) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |