| NPI | 1659599215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA L BEAMSLEY Managing Member 505-722-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 2879) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |