| NPI | 1619685898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILANA SHIMUNOVA Manager 305-521-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |