| NPI | 1982942207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LOUIS-CHARLES Administrator 754-204-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |