| NPI | 1235628967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAINA WRIGHT Administrator 561-279-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |