| NPI | 1770265357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORGIS GONZALEZ REINOSO Owner 786-424-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2025-02-07 |