| NPI | 1477903201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JATARA LATOI MASON Owner 561-303-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |