| NPI | 1215265491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE INES MONTGOMERY Speech/Language Pathologist 505-268-5098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech (Licence: NM 140) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |