NPI | 1003172149 |
---|---|
Entity Type | Organization |
Authorized Contact | AJUANZIE LUCIANNA ROSS-JOHNSON Speech Pathologist 601-750-3843 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MS S3090) |
Enumeration Date | 2012-04-03 |
Last Update Date | 2012-04-03 |