| NPI | 1528682069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIA LAZO SANTALLA President 786-227-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |