| NPI | 1144478157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL QUINONES Co Owner/Manager 915-887-8753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2010-11-08 |