| NPI | 1821551243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZUNILDA PUENTES President 239-257-9636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2021-12-10 |