| NPI | 1316684210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEYRIS ARIAS Authorized Official 786-355-4722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2022-05-18 |