| NPI | 1023701331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDERSON MABOUT Administrator 561-507-7567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-27 |