| NPI | 1033395769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA G ENNENGA Director Office Of Grant And Contra 928-523-4880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-07-09 |