| NPI | 1194904342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLI MOORE Executive Director 731-668-6076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: TN 0000002395) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2020-09-10 |