| NPI | 1710357793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONNETTA J.L GIDLEY Chief Executive Officer 202-725-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3895) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |