| NPI | 1003542424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LUNDI JEAN Manager Member 786-290-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |