| NPI | 1609277011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY STROUGH Tsa Special Education 315-435-4204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |