NPI | 1700208378 |
---|---|
Entity Type | Organization |
Authorized Contact | EUGENIA SANTANA Administrator 786-657-7205 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2014-01-15 |
Last Update Date | 2018-06-20 |