| NPI | 1356947766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE LAINE DARNELL Speech Pathologist 187-040-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |