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 |