| NPI | 1881608875 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MARIE NINON PIERRE Owner/Director 772-468-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 151079) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |