| NPI | 1639219389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY KAPLAN B.C.B.A. 954-344-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-06-14 |