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 |