| NPI | 1629145255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA D. LASKIN President 601-212-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-10-03 |