| NPI | 1477260149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BESHARA Owner 201-694-6227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 231H00000X Audiologist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |