NPI | 1124368881 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA SIMS-EDWARDS Speech Language Pathologist 954-488-1468 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL SA11883) |
252Y00000X Early Intervention Provider Agency (Licence: FL SA11883) | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2013-02-18 |
Last Update Date | 2024-06-06 |