| NPI | 1013302363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA VALLEJO Clinisian Director 786-601-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 2522) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2020-05-22 |