| NPI | 1326187113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GRACE GREEN Office Manager 501-227-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP2255) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |