NPI | 1023795192 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL HATHCOCK Speech Language Pathologist 505-720-0198 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare |
Enumeration Date | 2023-06-30 |
Last Update Date | 2023-06-30 |