| NPI | 1962125518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA TEJEDA CEO 786-583-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-11-29 |