| NPI | 1902174683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MOURINO President 786-970-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL MA-65381) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |