NPI | 1730327404 |
---|---|
Entity Type | Organization |
Authorized Contact | ELISHA ROKIA HARRELL Speech Language Pathologist/Owner 228-865-0117 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
273Y00000X Rehabilitation Unit | |
Enumeration Date | 2009-02-03 |
Last Update Date | 2023-01-20 |