| NPI | 1023413440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMEL MATOS Owner 786-436-6312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2019-04-25 |