| NPI | 1659637486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LU ANN SAMUELSON Owner 954-533-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL AL11718) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |