| NPI | 1144664558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANSELMO FRAGA Owner 305-724-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL MA71425) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |