| NPI | 1467902551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALONZIA JAMES PHILLIPS President 772-925-2489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |