NPI | 1235308024 |
---|---|
Entity Type | Organization |
Authorized Contact | MITCH W. WRIGHT Director 870-698-9460 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 595) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2008-02-28 |