| NPI | 1073840351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED MILAGROS FERNANDEZ President 407-579-2507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL 0215) |
| Enumeration Date | 2009-11-07 |
| Last Update Date | 2018-01-23 |