| NPI | 1619100146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA JACKO President & CEO 305-856-4176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2017-09-27 |