| NPI | 1336596287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM VIDAL President 305-202-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2017-04-28 |