| NPI | 1154723641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN O'HARA Member/Manager 505-801-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA9074) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |