| NPI | 1922541622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA DELIA MARTIN Owner /Director 786-256-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-12-01 |