| NPI | 1679778674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YILLIAM MORENO Administrator 786-229-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL10139) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-07-07 |