| NPI | 1932938552 |
|---|---|
| Former Legal Business Name | PIONEER CLUB LLC |
| Entity Type | Organization |
| Authorized Contact | JOEY PEREZ Owner 305-744-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |