| NPI | 1689013948 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANIA VELASCO-QUINTERO Clinical Coordinator 786-402-8282 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency | 
| Enumeration Date | 2013-06-20 | 
| Last Update Date | 2013-06-20 |