| NPI | 1194383356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL MARQUEZ Owner 407-692-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |