| NPI | 1366018608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY DENISE HAMPTON President 954-549-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2022-12-14 |