| NPI | 1851758676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON T MOVEN Administrator 786-316-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL12723) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |