| 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 |