| NPI | 1598470783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YORDY JULIAN PONCE DE LEON President 786-443-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |