| NPI | 1679217350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CLARK Director Of Instructional Support 207-284-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-05-02 |