| NPI | 1407078975 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHARLES R. BAUER Program Director 305-243-6660 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities | 
| Enumeration Date | 2007-05-03 | 
| Last Update Date | 2020-08-22 |