| NPI | 1528723137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN SMITH Speech Language Pathologist 208-691-5785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-19 |