| NPI | 1093207664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES MARIA ACOSTA Itds/President 786-278-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-08-15 |