| NPI | 1083906259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIEVES MOISES Owner 305-888-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL 687612996) |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL 687612998) |
| 347C00000X Private Vehicle (Licence: FL 687612998) | |
| 347C00000X Private Vehicle (Licence: FL 687612996) | |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |