| NPI | 1477061570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA DIMITRJEVITCH Owner 786-303-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-07-25 |