| NPI | 1770262990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA MARIE OLSEN CEO 904-844-3136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2026-02-24 |