| NPI | 1750066825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBALLEE CHEUNG Present 954-495-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 252Y00000X Early Intervention Provider Agency | |
| 310400000X Assisted Living Facility | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |