| NPI | 1982843405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA KAY KING Secretary 305-853-0943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL OT 10819) |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL OT 10819) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2010-02-25 |