| NPI | 1992103584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA THOMAS Administrator 954-987-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: FL AL7404) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2015-06-19 |