| NPI | 1477237196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS KMITA CFO 615-294-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-06-13 |