| NPI | 1720093503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY J LITTS Business Manager 505-247-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NM 01-605450-00-4) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |