| NPI | 1396428470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN FAITH BANE Speech Language Pathologist 980-230-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |