| NPI | 1760655914 |
|---|---|
| Doing Business As | ETSU NAVE CENTER |
| Entity Type | Organization |
| Authorized Contact | RUSSELL E. LEWIS Executive Director 423-433-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2019-05-01 |