| NPI | 1518502095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIA JAYNES Speech Language Pathologist 574-703-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |