| NPI | 1487486916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLY ESCOBAR Owner 706-201-9237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-12-11 |