| NPI | 1467199547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA COLWELL HALE Owner 903-993-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2024-12-13 |