| NPI | 1962784215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUERDITH MICHEL Owner/Administrator 786-859-6824 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL12029) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |