| NPI | 1801194378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENI SANCHEZ President 754-423-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL 000641400) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |