| NPI | 1710344973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MULLINS Director Of Therapy Services 385-275-0492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |