| NPI | 1689483125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADAY CLEARE Vice President 305-807-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |