| NPI | 1851784300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NAVALANCE MARIANI Slp 985-789-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 101821) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |