| NPI | 1932613270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIEZL ROOT President 305-607-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL RN9279976) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |