| NPI | 1497349625 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | DON DURANTE ANDREWS Owner 772-214-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2021-02-28 |