| NPI | 1205327921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN M MELENDEZ Director 407-350-4805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2021-09-08 |