| NPI | 1659637262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YADELKIS CRUZ Manager 786-417-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |