| NPI | 1770967689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITA STILLWELL Owner 870-897-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1417) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |