| NPI | 1841951696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS L MANGAN CFO 407-919-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2023-06-02 |