| NPI | 1003482902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISLEYDIS DENIS Owner 786-525-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-05-02 |