NPI | 1861678393 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHA FAYE LINVILLE Executive Director 954-786-0344 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 10-1454GH) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2008-01-15 |