| NPI | 1407530751 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHELLE RENEE RENSHAW Speech/Language Pathologist/Manager 210-885-8371 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech | 
| Enumeration Date | 2023-06-14 | 
| Last Update Date | 2023-06-14 |