| NPI | 1275114605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MARCELA ROLDAN MORA President 786-312-5827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2022-03-01 |