| NPI | 1871178616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANFRANCO MIRANDA CEO 267-760-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2022-10-17 |