| NPI | 1972274678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA CASTEL Waiver Provider 305-878-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-03-14 |