| NPI | 1811269228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OVANY ESTEVEZ President 786-704-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL al11822) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |