| NPI | 1841696929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA GAY Owner And Director 305-609-1258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 11-954-GH) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |