| NPI | 1689954588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA PADRON CEO 208-221-1094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: ID SLP-2122) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |