| NPI | 1679918791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA FORTUNE Director 305-525-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |