| NPI | 1811454275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA KELLY Administrator 786-277-0115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |