| NPI | 1699285783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MATHURIN President 954-501-7328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |