NPI | 1750634820 |
---|---|
Entity Type | Organization |
Authorized Contact | CANDICE DIANE REED Speech Language Pathologist 870-224-3585 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AR SP#2375) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2012-10-25 |