| NPI | 1992357123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE CHARLENE LOBBAN Administrator 954-274-5934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |