| NPI | 1760958847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTELLA DORVAL Administrator 772-207-7947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |