| NPI | 1740725423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEISHA WILLIAMS President 772-559-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |