INTENTIONAL PROVISIONS OUTREACH CORPORATION

NPI # 

Practice Address:

1799 Sw 8Th St

Homestead, FL, 33030-6621

Practice Phone:

786-239-3081

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Developmental Disabilities

Taxonomy Code:

261QD1600X