| NPI | 1700663606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDRA P MALLARY Owner/Direct Care 786-239-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |