| NPI | 1316753106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTAL GRANT Authorized Representative 786-438-8415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |