| NPI | 1013191337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CROCKETT Superintendent 662-741-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: MS 09015483) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2023-09-06 |