| NPI | 1164613253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELLE ELERICK Assistant To The Director Of Operat 817-479-7019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 231H00000X Audiologist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2025-08-28 |