| 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 |