| NPI | 1780328302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA BURGE Speech Language Pathologist 228-216-0893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-04-21 |