| NPI | 1831522853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA C ONA Owner 786-443-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-14 |