| NPI | 1730606112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE-ANNE MOORE Owner/Director 561-910-0716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |