| NPI | 1396457008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MACINNIS Speech Language Pathologist 207-613-6904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2022-12-14 |