| NPI | 1689173833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMPLE TYSINGER DOUGLAS Owner 561-207-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |