| NPI | 1205364155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILENA MESA Administrator/Owner 786-478-8132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2018-06-20 |