| NPI | 1982357455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSUE FILS ANDERSON DESIR Director 772-213-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |