| NPI | 1073810347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URMIL KAMAL PAREKH Chief Operating Officer 904-465-3756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL SA5993) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA5993) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-06-10 |