| NPI | 1013214493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABEEBET MOMOH President 786-897-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: FL 000399500) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |