| 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 |