| NPI | 1295147478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAISON METROCK Owner 954-554-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2016-07-22 |