| NPI | 1912378415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MIGUEL MARTINEZ CEO 786-663-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |