| NPI | 1518610732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESSANDRA DAVALOS President 954-478-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |