| NPI | 1104025527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELA MARIA PERAZA President/Owner 305-987-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL PT20392) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT20392) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2015-02-24 |