| NPI | 1568760445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI HARRELSON Director 575-562-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 1826) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |