NPI | 1528591302 |
---|---|
Entity Type | Organization |
Authorized Contact | KHALILAH MIGNON MARQUES Director, Manager 904-652-6165 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 225X00000X Occupational Therapist |
2355S0801X Specialist/Technologist, Speech-Language Assistant | |
235Z00000X Speech-Language Pathologist, | |
261QH0700X Clinic/Center, Hearing and Speech | |
Enumeration Date | 2017-04-07 |
Last Update Date | 2023-05-30 |