| NPI | 1790151314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUFRACIA URENA President 305-974-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 11-236-GH) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2022-02-22 |