| NPI | 1831395474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT HERRYMAN Administrator 305-305-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL10972) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |