| NPI | 1669870754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA LEYVA Administrator 305-725-8337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL3868) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |