| NPI | 1659773257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RICHARD DENBOW Manager 305-623-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL al3952) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |