| NPI | 1992152045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAYLY GONZALEZ Director/Owner 786-326-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL SW12880) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12880) |
| 251S00000X (Licence: FL SW12880) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-06-01 |