| NPI | 1760153837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE CASTANEDA President 786-203-3468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |