| NPI | 1790136067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEBERTO PENA Vice President 786-229-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 9354) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |