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 |