| NPI | 1467091165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULIANA BALTHAZAR Administrator 786-226-2016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |