| NPI | 1548939952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETURAH MICHELLE JOHNSON-BROWN CEO 904-629-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |