| NPI | 1124700851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELLE MARIA LA ROSA Owner 954-800-4078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-08-09 |