NPI | 1942605548 |
---|---|
Doing Business As | PROMISE MANOR WELLCARE |
Entity Type | Organization |
Authorized Contact | SANDRA M CAMERON Administrator 561-863-7481 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2014-10-27 |
Last Update Date | 2014-10-27 |