NPI | 1659023232 |
---|---|
Entity Type | Organization |
Authorized Contact | ALTHEA MARTIN Director 786-302-7389 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-01-25 |
Last Update Date | 2022-01-25 |