NPI | 1063063618 |
---|---|
Other Name | LATAN |
Entity Type | Organization |
Authorized Contact | YAKIMA K BLACK President & CEO 225-925-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2019-09-25 |
Last Update Date | 2019-09-25 |