| NPI | 1104556190 |
|---|---|
| Doing Business As | WE |
| Entity Type | Organization |
| Authorized Contact | MARIA JOSE LOPEZ Manager 305-803-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |