| NPI | 1386190767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY L CHACON Owner 575-642-3583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 3364) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |