| NPI | 1922163856 |
|---|---|
| Former Legal Business Name | PASSAGEWAY |
| Entity Type | Organization |
| Authorized Contact | LILLIAN MENENDEZ Executive Director 305-635-9106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL 8332) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2011-11-30 |