| NPI | 1740266097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL SORTINO Administrative Manager 505-466-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 90929) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-08-22 |