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 |