NPI | 1265620397 |
---|---|
Entity Type | Organization |
Authorized Contact | JUANTA TRENISE BUGGAGE Licensed Speech Language Pathologist 225-244-1823 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: LA 5824) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2009-08-10 |