NPI | 1821858101 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLA VIDAURRI HOLLAND Speech Language Pathologist 210-577-0614 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
Enumeration Date | 2024-03-21 |
Last Update Date | 2024-03-21 |