| NPI | 1487338455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY MIXON Speech Language Pathologist 228-218-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-07-06 |