| NPI | 1952760969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEEN SMITH Owner 305-810-9967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14079) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 14079) |
| 251E00000X Home Health (Licence: FL SA 14079) | |
| 253J00000X Foster Care Agency (Licence: FL SA 14079) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-06-24 |