| NPI | 1639613615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GIL Authorized Official 954-599-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist (Licence: FL 66942) |
| Enumeration Date | 2016-12-11 |
| Last Update Date | 2016-12-11 |