| NPI | 1699068957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDDY FAYNE Director Of Operations 800-381-2195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 007160) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2015-05-19 |