| NPI | 1649654161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDALMYS GARCIA Administrator 239-316-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-11-06 |