| NPI | 1720267362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA C. RODRIGUEZ Director 786-251-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 11468GH) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 11656GH) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 11744GH) | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |