| NPI | 1194270843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL JONES Owner 228-806-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S2230) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-01-16 |