Organization
J&M SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JATARA LATOI MASON M.S. (OWNER)
(561) 303-8688
Entity
Organization
Contact information
Practice address
740 MALIBU BAY DR APT 203, WEST PALM BEACH, FL 33401-8401
(561) 396-3005
Mailing address
740 MALIBU BAY DR APT 203, WEST PALM BEACH, FL 33401-8401
(561) 396-3005
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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