| NPI | 1194536193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANEIRY MOYA ALOMA President 813-453-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |