| NPI | 1114501822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIVIA COSTA DE MATTOS DE PAULA Mgr/Itds 954-260-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2021-05-09 |
| Last Update Date | 2021-05-12 |