| NPI | 1356888366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDELIS D LIRA Director 786-352-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: FL AP3334) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2017-01-28 |