| NPI | 1083231120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURELIN LUZBERT DIEGUEZ Owner 786-218-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2020-07-05 |