| NPI | 1144640947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN WAGNER Office Manager 505-980-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NM 5431) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-09-04 |