| NPI | 1508309519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTY S. DAVIS Speech/Language Pathologist 605-206-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SD 208-SLP) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |