| NPI | 1528613866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULEYDIS BETANCOURT MESA President 786-380-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-17 |