| NPI | 1265727598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRIE RILLING Owner/Manager 208-919-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NV SP-1264) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |