| NPI | 1144497819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS SOTOMAYOR ALBERTO SOTOMAYOR Program Director 786-443-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL 1113AD888901) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |