| NPI | 1184388654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BAILEY Speech Language Pathologist 304-787-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-10-29 |