| NPI | 1417653643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISLEIDY ESQUIVEL Owner 786-710-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-08-15 |