NPI | 1730710211 |
---|---|
Doing Business As | CHATEAU GROUP HOME |
Entity Type | Organization |
Authorized Contact | HECTOR L RODRIGUEZ Director 321-337-9391 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2020-02-03 |
Last Update Date | 2021-09-08 |