| NPI | 1508373085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYOMY ANNETTE VILLAFANE Speech And Language Pathologist 954-753-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |