| NPI | 1376007666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHENSON CIMILIEN Manager 561-420-7574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |