| NPI | 1679722375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA N BALAND Director Of Business Services 806-353-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation (Licence: TX 513120000) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2016-08-22 |