| NPI | 1629693486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN HALL Director Of Clinic Operations 479-431-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2022-08-11 |