| NPI | 1861147951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR CRUZ MARTINEZ President 813-770-9634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |