| NPI | 1952866352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY DOUGLAS Owner/Chief Financial Officer 561-421-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2019-02-10 |