| NPI | 1194533661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SHELLEY CHACON General Partner 786-873-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |