| NPI | 1528437621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN C DAVIS Speech Language Pathologist 410-841-4514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD 07593) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |