| NPI | 1417092461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY JOHNSON Chief Executive Officer 386-255-4568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-05-29 |