| NPI | 1083252076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE COOPER Speech Pathologist 779-234-8997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2023-02-14 |