| NPI | 1285176206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DOSORETZ CEO 239-236-8784 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2023-06-02 |