| NPI | 1265911531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUVA ANGELA MUNFORD Owner 954-632-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |