NPI | 1548773955 |
---|---|
Entity Type | Organization |
Authorized Contact | DAYLAN FREDRICK HALL CEO/Owner/Provider 305-785-4864 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2017-11-07 |
Last Update Date | 2017-11-07 |