| NPI | 1619398906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANON MARY MCINTYRE Speech Language Pathologist 561-262-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CO 0001624) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2015-10-20 |