| NPI | 1245622356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARLIA S CLAYTON Speech Pathologist 575-799-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NM 3301) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |