| NPI | 1477870038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY GRACE TULLOS Speech/Language Pathologist 318-235-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |