| NPI | 1962769836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY R ROSS Owner 954-249-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL 10744) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |