| NPI | 1609422450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUASCAR PENA CEO/Owner 786-631-4926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |