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