| NPI | 1467592048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDRIA M SEALS CEO 1866-753-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235500000X Specialist/Technologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-09-17 |