NPI | 1801453295 |
---|---|
Entity Type | Organization |
Authorized Contact | ALYSSA PRINZI Slp Ccc / Owner 239-826-9028 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
261Q00000X Clinic/Center | |
261QH0700X Clinic/Center, Hearing and Speech | |
Enumeration Date | 2019-05-21 |
Last Update Date | 2022-07-15 |