| NPI | 1205549078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORALIS CALDERON Owner 407-902-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2026-07-02 |