| NPI | 1215735105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA STREETER Chief Administrative Officer 800-699-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |