| NPI | 1457941577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIANA NIKOLE SMITH Sole Proprietor 330-958-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-06-23 |