| NPI | 1700300092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON M MARTINEZ President 305-450-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL L11-1108-GH) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |