| NPI | 1568331726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVANNIE BRAHAM Owner/Administrator 305-310-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |