| NPI | 1396501029 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARIBEL GARCIA GARCIA Owner 980-900-7876 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities | 
| Additional Taxonomies | 104100000X Social Worker | 
| Enumeration Date | 2024-02-21 | 
| Last Update Date | 2024-04-23 |