| NPI | 1740057579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHLIK DAVIS Speech Language Pathology 201-923-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |