| NPI | 1982220893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASIEL CHAVIANO HUERTA CEO 786-306-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |