| NPI | 1568170447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTOL THERIEN-DOUGLAS Administrator 772-321-1963 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM3000X Clinic/Center Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |