NPI | 1972084697 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA EVELYN WINTON-GRUBER President 772-971-7951 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2018-08-22 |
Last Update Date | 2018-10-05 |