| NPI | 1275118028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISET RODRIGUEZ Manager 305-903-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2023-01-11 |