| NPI | 1114476637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETTEL MARTINEZ Executive Officer 305-269-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: FL PY8212) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL PY8212) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |