NPI | 1316439508 |
---|---|
Entity Type | Organization |
Authorized Contact | TANIJA DARINKA CONSTANTARAS Executive Director 954-200-0902 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2018-06-04 |
Last Update Date | 2018-06-04 |