| NPI | 1770222135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYISET CRESPO Administrator 305-908-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |