| NPI | 1972729846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIL G HAZIM Case Manager 305-445-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: FL 8332) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |