| NPI | 1992397749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODALYS HERNANDEZ Office Manager 305-962-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2022-10-28 |