| NPI | 1689811168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA ROCIO VALLEJO Director 954-274-9834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2020-10-26 |