| NPI | 1912431883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ M CAMACHO President Of Board Of Directors 772-342-3409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |