| NPI | 1396631925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD VALDES CASTILLO CEO 904-476-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |