| NPI | 1801617386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLINE JEAN Administrator 786-356-9468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |