| NPI | 1972191963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES FRIAS Speech Language Pathologist 904-201-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2024-05-20 |