| NPI | 1568952372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LATRINA HOLLAND Owner 561-614-7513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |