| NPI | 1922812908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA ALICEA Administrator 305-345-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2025-02-01 |