| NPI | 1548921281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YDOPCENE ESTERIL Vice President 321-368-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-22 |