| NPI | 1841019874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYDEL PEREZ President 786-306-1986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |