| NPI | 1427479724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN RUIZ Manager 786-258-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-04 |