| NPI | 1780966986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELIA DESIREE CASTILLO Speech Language Pathologist 786-382-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 019113) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NY 019113) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |