| NPI | 1801774278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERLINE BELLEVUE Owner 786-656-5762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-09-02 |