| NPI | 1811753155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR ANTONIO SAMOT President 939-717-1653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |