| NPI | 1609486976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE JOSEPH BLANFORD President/Owner 260-338-2942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |